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DSLBD - Search for Certified Business Firms Request Form

DIVISION OF LOCAL BUSINESS DEVELOPMENT

REQUEST FORMSEARCH FOR CERTIFIED BUSINESS ENTERPRISE (CBE) FIRMS

Instructions: Use this form if you need to a) fulfill a 35% CBE utilization requirement for a given project or b) your company desires to inform CBE firms about projects, programs, or services for advancing their business opportunities and/or access to capital.

Requests may take up to 24-72 hours depending on the desired scope of work categories needed.

Please Answer all 8 Questions

1. Date of Request:

2. Requestor Information (Check the option that is applicable and provide the name of the entity)

District Government Agency Requesting Information (if applicable):

Division/Department requesting Information (if applicable)

Development Company or Prime Contractor (if applicable):

A Vendor Responding to a District Government Solicitation (if applicable):

Names selected above if Applicable

3. Does this request involve a CBE Agreement with DSLBD?

Yes

No

4. Does this request involve a private sector or federal government business opportunity that does not involve a CBE Agreement?

yes

No

5. Name and Position of Person Requesting Information:

6. Phone:

Email:

7. Project Title:

8. Brief Description of Scope of Work Desired) (e.g. Construction, Masonry, Electrician, or Business Consulting):

Information needed by:

Date (MM/DD/YY)

Month

Day

Year

Time

:

am

pm

ADDITIONAL COMMENTS:

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